Use our essay title generator to get ideas and recommendations instantly
Migrants' Health Problem and the Kingdon Model Framework
Migrants and other transient and underserved groups confront similar health problems as other disadvantaged groups, like the poor and new immigrants (MCN, 2014). Their health conditions proceed from food shortage or improper nutrition, infection, poor hygiene and an overall lack of resources. Their low income and dissimilarity with the culture are made worse by their migratory status and the health risks and other risks that accompany their unstable situation. They and their dependents are subjected to frequent and serious health risks more than the general American population. Their situation has not been adequately addressed because of the lack of sufficient adequate studies. Existing knowledge has mostly been gathered and formed from self-reporting efforts and recall of the migrants on their illnesses. Most of these self-reported recollections centered on social barriers, which stand on the way of the delivery of health care to…
Kubiak, S.M. et al. (2005). It's not a gap, it's a gulf. Vol. 1 # 2, Best Practices in Mental Health:
Lyceum Books, Inc.
Unti, R.A.G. (2015). Public health advocacy. Oxford Bibliographies. Retrieved on July 31,
2015 from http://www.oxfordbibliographies.com/view/document/obo-9780199756797/obo-9780199756797-0028.xml
Policy Options and Alternatives of the Migrant Health Problem
Though immigrants and families experience the very same health issues as the rest of the population, many factors such as: poverty, migrancy, occupational hazards, inferior living conditions, and cultural and linguistic barriers faced by these individuals lead to development of unique health issues. As a consequence, the average migrant life expectancy is 49 years, a low figure compared to the country average (75 years) (Cunningham, 2006).
Description of existing policy gaps
There are several barriers to receiving Medicaid coverage that are faced by migrants. While some issues impact low-income groups in general, several issues are inflamed by migrant characteristics, such as their unstable incomes, migratory patterns and immigrant status.
Many migrants aren't entitled to receive Medicaid coverage. One of the significant obstacles is that states, under the existing law, cannot provide low-income, non-disabled adults, who don't have any dependent children, with…
California Primary Care Association, (2002). Policy Options Related to the Medicaid Portability for Migrant Farmworkers Project, Sacramento, CA.
Cunningham, P. (2006). What Accounts for Differences in the Use of Hospital Emergency Departments in Communities Across the United States? Health Affairs web exclusive, July 18.
Hansen, E. & Donohoe, M. (2003). Health Issues of Migrant and Seasonal Farmworkers. Journal of Health Care for the Poor and Underserved, Vol. 14, No. 2. DOI: 10.1177/1049208903251513
Rosenbaum, S. & Shin, P. (2005).Migrant and Seasonal Farm workers: Health Insurance Coverage and Access to Care. Kaiser commission on Medicaid and the uninsured.
In that study, women who suffer from migraines were determined to be much more likely than women who did not suffer from migraines to maintain more self-critical attitudes, and to magnify negative perceptions, as well as to be less inclined to solicit support from others.
Dr. John Sarno describes his own experience with the link between psychological factors, in particular, repressed anger and hostility, in the onset of migraine headaches.
According to Sarno, he suffered from migraines for six years at a time when his medical responsibilities and family life caused him a great deal of stress. After reading about the possible connection between repressed anger and migraines, he began focusing on conscious recognition of possible sources of his anger whenever he experienced the visual disturbances that normally precipitated his own migraines. To his surprise, his migraines never again materialized, even though he still experiences the visual disturbances to this…
Pavoratti, L. (1982) Pavoratti: My Own Story.
Warner Books: New York
Sarno, J. (1998) the Mindbody Prescription: Healing the Body, Healing the Pain.
Warner Books: New York)
Migrant Health Problems
Understanding the Migrant Health Problem
Currently access to health and social services for the majority of migrants is based on their legal status. Needless to say undocumented migrants have little or no access to health care services. One's legal status is one of the prerequisite conditions for one to receive sufficient care. Additionally, accessibility, availability, acceptability and quality of such services depends on various factors such as financial, gender, structural, linguistic, social, cultural and geographical factors. Furthermore, various beliefs and myths or knowledge about ill health and one's health status prevent migrants from engaging or getting into national health systems.
Causes of the Migrant health problem/Impact on communities
Low health literacy levels within migrant communities are a huge barrier and deter many migrants from wanting to engage health care professionals (Becker, 2003). This situation is the same within many migrant communities regardless of a migrant's socio-economic status…
Becker, G. (2003). Socioeconomic Status and Dissatisfaction with Health Care among Chronically Ill African-Americans. American Journal of Public Health, 93(5), 742.
Carrasquillo, O., Carrasquillo, A. & Shea, S. (2000). Health Insurance Coverage of Immigrants Living in the United States: Differences by Citizenship Status and Country of Origin. American Journal of Public Health 90 (6): 917-923.
Centers for Disease Control and Prevention (CDCP), (2013).Division of Tuberculosis Elimination. Retrieved from http://www.cdc.gov /tb/topic/populations/default.htm
Howie, W. O. (2009). Mandatory reporting of medical errors: crafting policy and integrating it into practice. The Journal for Nurse Practitioners, 5(9), 649-654.
In person interviews can be an effective research tool but for the purpose of this study it would not be the most effective tool. Asking children in person how many hours they watch of television may not get accurate answers or results. In addition, asking the parents how much television they allow their children to watch may garner inaccurate answers as they may not know for sure, or they may not want to be honest about the number of hours they allow the children to watch.
Another method of study that was examined and then rejected was case study. The case study can be an effective tool for the purpose of study because it allows the research team to become deeply involved with the subject and gather many facts. This is an excellent tool for research any time there are not a lot of participants required. For the purpose of…
Kennedy, Christine. Television and Young Hispanic Children's Health Behaviors.
Pediatric Nursing; 5/1/2000;.
Trowbridge, Frederick L. Childhood obesity: future directions and research priorities.(the Causes and Health Consequences of Obesity in Children and Adolescents) Pediatrics; 3/1/1998;
Childhood Obesity: University at Buffalo Experts Describe Research & Recommendations for Combating Epidemic. Ascribe Higher Education News Service; 8/7/2003
Funding Proposal for Counseling
The agency detailed in this assignment is called Mbrace Counseling and Behavioral Health Services. It provides a bevy of clinical services to a fairly wide patient population, including family members, parents, children, and adults. Its mission is to work primarily with populations in urban and suburban settings to provide quality service for a diverse range of needs. Specifically, those needs are readily stratified into those pertaining to behavioral health services and mental health services. The organization specializes in issuing mental health services for a variety of needs that include ailments related to a variety of family members including marital stress, family conflict, conduct disorder and job stress. Additionally, it also focuses on issues more common to individuals such as ADHD, depression, anxiety and others. The client population is varied as well, and includes those of low socio-economic standing such as patients with Medicaid and Amerigroup Insurance.…
Telehealth Strategies to Support Adolescents with Diabetes and CKD
Children and youth who must undergo dialysis because of chronic kidney disease (CKD) are typically provided age appropriate educational materials for self-care. Key objectives of efforts to strengthen self-care education are the maintenance of optimally beneficial diet and, although direct evidence has not yet been shown for children, maintenance of blood pressure that is below the 90th percentile for height, age, and gender ("NIH," 2014). Longitudinal studies may point to strategies that result in earlier detection, and perhaps even enable diabetic kidney disease to be prevented (Lane, 2005). In the interim period, research that identifies enhanced methods for assisting and encouraging children and youth to adhere to their dietary regimens are an important support to utilize ("NIH," 2014).
Guidelines for optimizing the benefits of a customized diet for children and youth with chronic kidney disease have been provided by the National…
Purcell, K. (2011, November 2). Part IV. What types of apps are adults downloading? Half of adult cell phone owners have apps on their phones. Pew Internet & American Life Project. Pew Research Center. Retrieved from http://www.pewinternet.org/2011/11/02/part-iv-what-types-of-apps-are-adults-downloading/
Sheehan, B., Li, Y-L., Rodriguez, M., Schnall R. (2012). A comparison of usability factors of four mobile devices for accessing healthcare information by adolescents, Applied Clinical Informatics, 3, 356-366. Retreived from http://obssr.od.nih.gov/pdf/mhealth_webinar_dr_schnall.pdf
Schnall, R., Okoniewski A, Low, A., Tiase, V., Rodriguez, M., and Kaplan, S. (2013). Using text messaging to assess adolescents' health information needs: An ecological momentary assessment, Journal of Medical Internet Research, 2015:e54.
Consistent with this, other findings propose that women are more likely than men to take part in violence in the home whereas men are more likely than women to take part in violence in public places.
Even though there is some evidence that mental illness is associated with violence, it appears that the bigger contributing factor is that of outside influences. Substance abuse appears to be the greatest contributing factor, but it can be something as insignificant as one's living arrangements or even just their gender. Overall people with mental health problems do not appear to be at an increased risk of violence.
Appelbaum, P.S., Robbins, P.C., Monahan, J. (2000). Violence and delusions: data from the MacArthur Violence Risk Assessment Study. American Journal of Psychiatry, 157,
Cottle, C. (2004). The role of social context in the prediction and management of violence among persons with mental illness. Dissertation…
Health Structures in Government Levels
Health at different Government Levels
Health Structures at Government Levels
Health at Government Levels
A national government has a task in ensuring quality health assurance standards across its region are up-to-date. Similarly, increased rates of unexpected epidemics have put governments under the surge of dealing accordingly with factors that can affect the nation directly and indirectly. Different governmental levels of health are identified and objectified in various agency websites. In this context, I have identified with a state level website; Illinois Public Health Institute website. Information presented to the website articles prioritizes in reducing and preventive, curative diseases, complementing health policies and championing for environmental changes.
Website Article eview
The Illinois Public Health institute articulates its review and implication to health quality through partnership programs. The website has supported state-oriented health involvement in ameliorating health levels, in Illinois. The institution has show-cased partnering programs with…
Baum, F and Kahssay, H.M. Health development structures: an untapped resource. World Health Organization. Vol 1 Issue 1. Pg 96-114.
Ladeia, M.L., Jacob, P., Borges, M.C., Rogero, M. M and Ferreira, S.R.G. (2011). Studies of Gene variants related to Inflammation, Oxidative, Stress, Dyslipidemia and Obesity: Implications for a nutrigenetic approach. Journal of Obesity. Vol 1, Issue 1. Pg 1-31.
5th March 2012. Illinois Public Health Institute. Retrieved from URL http://www.iphionline.org / Accessed on 27th March, 2012.
Psychosocial Model of Health
Use questions 2, 3, 5, 11, and 12
Many times a health professional will look at a health issue and see only the problem at hand. The difficulty with this approach is that most health problems affect the entire person whether or not the issue is localized or not. The psychosocial model of health looks at more than an individual's physical state to determine how they will respond to treatments in the short- and long-term. A patient's psychological well-being and their support system are as important as a willingness to see a treatment through to the end. The following paper looks at two patients and whether they were well-served from a psychosocial perspective, and, if not, what improvements could be made to serve the patient better.
In the documentaries, two of the patient interviews stood out as especially relevant to this discussion. One of these…
Back, A.L., Arnold, R.M., Baile, W.F., Fryer-Edwards, K.A., Alexander, S.C., Barley, G.E., Gooley, T.A., & Tulsky, J.A. (2007). Efficacy of communication skills training for giving bad news and discussing transitions too palliative care. Arch International Medicine, 167, 453-459.
Douglass, J.L., Sowell, R.L., & Phillips, K.D. (2003). Using Peplau's Theory to examine the psychosocial factors associated with HIV-infected women's difficulty in taking their medications. Journal of Theory Construction & Testing, 7(1).
Ellingson, L.L. (2002). Introduction to the field of healthcare communication. Communication Research Trends, 21(3).
Holland, D.J., Bradley, D.W., & Khoury, J.M. (2005). Sending men the message about preventive care: An evaluation of communication strategies. International Journal of Men's Health, 4(2).
Such equipment should be adequate to ensure personnel are protected from chemical exposure to the eyes, skin, and respiratory tract. PPE may be upgraded or downgraded by the site industrial hygienist, HSM, or qualified Site Safety Officer based upon site conditions and air monitoring results (Levin, et al., 2002)
Work practice and administrative controls
Administrative controls or work practice controls are changes in work procedures such as written safety policies, rules, supervision, schedules, and training with the aim of reducing the interval, frequency, and sternness of exposure to hazardous chemicals or situations. Workers who handle hazardous chemicals in the workplace should be familiar with the administrative controls required fewer than 29 CF 1910.1200, and the OSHA Hazard Communication Standard. This controls are perhaps most important, because they impact your people directly. On the one hand, they are the simplest, since all it takes is education. On the other hand, education…
Annual report on 9/11 health (September, 2009). Retrieved on March 20, 2010 from http://www.nyc.gov/html/fdny/pdf/2009_wtc_medical_working_group_annual_report.pdf
Burright, D. et al., (1999). Evaluation guidelines for air sampling methods utilizing chromatographic analysis. OSHA Salt Lake Technical Center, U.S. Department of Labor: Salt Lake City, UT.
Harris, J.S., (ed.) (1997). Occupational medicine practice guidelines: Evaluation and management of common health problems and functional recovery in workers. The American College of Occupational and Environmental Medicine. Beverly, Mass.: OEM Press.
Levin, S. et al.,. (2002). Health effects of World Trade Center site workers. America Journal of Industrial Medicine 42:545 -- 547.
Polls examining public support of the bill and specifically the public healthcare option vary significantly. ith regard to physicians, the New England Journal of Medicine surveyed over six thousand medical doctors and found there was a majority in favor of federally provided public healthcare insurance (Keyhani & Federman). Other polls have suggested an opposition to the public option (Marmor).
The public option would provide an affordable alternative to the current private health insurance options and would provide impetus for competition and positive change. hether "America's Affordable Health Choices Act of 2009" will be passed is currently uncertain. hat is certain is that the healthcare and health insurance system is currently not sufficient to provide healthcare support for nearly 48 million uninsured Americans. Alterations need to be made to increase access and affordability for those individuals who desire health insurance.
The healthcare and health insurance system in the United States…
Harrington, Charlene, Carroll L. Estes, and Cassandra Crawford. Health policy. Jones & Bartlett Publishers, 2004.
Keyhani, Salomeh, and Alex Federman. "Doctors on Coverage -- Physicians' Views on a New Public Insurance Option and Medicare Expansion." N. Engl J. Med 361.14 (2009): e24.
Kotlikoff, Laurence J. The healthcare fix. MIT Press, 2007.
Marmor, T. "The Obama Administration's Options for Health Care Cost Control: Hope vs. Reality." 7 Apr 2009. 1 Nov 2009 .
The information contained in Health ars is of tremendous benefit to all readers. e need to take more control over our own health, especially given the rising cost of health care insurance and the exorbitant prices of doctor and hospital bills. Preventing problems depends largely on paying attention to our genetic history: finding out what problems our mothers, fathers, and grandparents and adapting our lifestyle accordingly. Reading Day's book also encourages readers to learn more about common problems and possible solutions that involve diet and lifestyle changes. Taking responsibility for our health is one of the main themes in Health ars. Readers should take heed of what Day believes to be a crisis in modern medicine: the inability or unwillingness to practice common sense prevention.
I would recommend Health ars highly for several reasons. First, I believe that the health care crisis might be one of the most important problems…
Day, Phillip. Health Wars. Credence, 2001.
The American Public Health Association (APHA) is founded. This organization is concerned with the social and economic aspects of health problems.
The National Quarantine Act is signed into law. This legislation is designed to prevent entry into the country of persons with communicable diseases.
1899 the National Hospital Superintendent's Association is created. It later becomes the American Hospital Association.
Patel & ushefsky, 1995, p. xvii)
The seeds of health care legislation and centralization began before 1875 but began to take hold as the most accepted manner in which to ensure safe and scientifically founded health care for many and to begin to ensure that diseases that commonly plagued a newly urbanized and highly stressful environment of mass immigration could be dealt with, in a more centralized and practical manner. Founded earlier in 1847, the American Medical Association began to have a concrete and centralized role in the health care decisions…
ichard Mitchell and Professor Daniel Dorling from the University of Leeds and Dr. Mary Shaw from the University of Bristol on the parliamentary constituencies of Britain revealed a number of social policy scenarios. The study traced the impact of the variations to society that might be brought through the effective execution of three social and economic policies. Firstly, they examined the efficacy of the policy of modest redistribution of wealth to counteract the health inequalities. During the decades 1980s and 1990s there were a considerable variation in the wealth possessions of rich and poor reflected in the major variations in their health enumerated by mortality rates. The study revealed that by returning to the inequalities in wealth of 1983 about 7500 deaths annually could have been prevented. (educing health inequalities in Britain)
The study assessed the impact of such policy to be most effective in the Birmingham Ladywood constituency in…
Health inequalities kill thousands" (27 September, 1999) Retrieved at http://news.bbc.co.uk/1/hi/health/456807.stm . Accessed 3 September, 2005
Introduction to health inequalities" Retrieved at http://www.dh.gov.uk/PolicyAndGuidance/HealthAndSocialCareTopics/HealthInequalities/HealthInequalitiesGeneralInformation/HealthInequalitiesGeneralArticle/fs/en-CONTENT_ID=4079644&chk=8WiiZg. Accessed 3 September, 2005
Link BG; Phelan JC. (May, 2005) "Fundamental Sources of Health Inequalities" Policy
Challenges in Modern Health Care. pp: 71-84. Retrieved at http://www.rwjf.org/research/researchdetail.jsp?id=1944&ia=141 . Accessed 4 September, 2005
Contracts with doctors often contain a clause which doesn't allow the doctors to discuss
Health care 7 with their patients financial incentives to deny treatment or about treatments not covered by the plan (Glazer, 1996). This has caused many consumers, especially those with chronic illnesses, to form organizations with the American Medical Association and physician specialty groups to promote legislation forbidding "gag rules" (Glazer, 1996). One group, Citizen Action, has 3 million members and "has been lobbying in state legislatures for laws that would require plans to disclose how they pay their doctors; give patients the right to choose specialists outside the plan; and provide appeals for patients who get turned down for expensive treatments" (Glazer, 1996).
The doctor-patient relationship is also affected if a patient must switch to a new doctor under managed care. Having a longterm relationship with a primary doctor is important because he or she is…
Bennett Clark, Jane (1996, July). What you should ask your HMO.
Kiplinger's Personal Finance Magazine. pp. 92-93.
Glazer, Sarah (1996, April 12). Managed Care. CQ Researcher, 6,
Koop, C. Everett (1996, Fall). Manage with care. Time. pp. 69.
Part D -- Both articles show us that reform is crucial to fixing the American health care system. ight now, it is buried under insurance monopolies, supply side dynamics and government institutions that fail to regulate, or compensate, for promised care. Using a model of externalities, the healthcare system should, in fact, result in a system in which pricing was not a motive for care, and would not require the consumer to hold the burden of propping up the system.
Part E -- Marginal means the margins of the existing state of the health care market; what cost or benefit that might change if the allocation of resources were to change. If one good or service, for instance, was changed then it would affect other units or services. The way that marginality focuses on health care benefits, for instance, is looking at the costs of preventative care vs. chronic or…
Cowen, T. Goodwin, (n.d.) Public Goods and Externalities. The Library of Economics
And Liberty. Retrieved from: e:/wcom [email protected] econ externalities
N., et al. (2007). Externalities. Encyclopedia of Earth. Retrieved from e:/wcom [email protected] econecon 04 microexternalities!encyc of earth.doc
A 2006 study that examined the rates of depression and other mental health disorders following the December 2004 tsunami found that large numbers of people still faced significant health impairment from the event, and that treatment had been negligible when compared to relief and rebuilding efforts in other areas (CDC 2006). These efforts would likely be made far more effective and efficient, however, if mental health issues were dealt with. Addressing the depression and other mental health maladies that the people suffered from following the tsunami would have led to a better adjusted and more productive (as well as healthier) population.
There was an effective degree of trauma care provided immediately after the tsunami struck, but preventative care measures could have been stepped up during this time to forestall and mitigate the spread of infectious diseases that often comes after a major disaster event (WHO 2005). Obviously, trauma care was…
CDC (2006). "204 South Asia tsunamis." Center for disease control. Accessed 14 November 2009. http://www.bt.cdc.gov/disasters/tsunamis/
WHO (2005). "South Asia earthquake and tsunamis: Inter-agency rapid health assessment." World health organization. Accessed 14 November 2009. http://www.who.int/hac/crises/international/asia_tsunami/final_report/en/index.html
It means they have an equal opportunity to receive contraception, prenatal counseling and services, post-natal services for mother and child, preventative healthcare services, vaccinations, and dentistry services, from earliest childhood and through their lives into their elderly years when they require more medical services to remain healthy and active. To the extent everyone in a given community or society has the same relative access to healthcare services and to the extent those services received are of comparable quality, healthcare access could be described as being equitable. On the other hand, to the extent everyone in a given community or society does not have the same relative access to healthcare services and to the extent those services received are not of comparable quality, healthcare access could be describes as being inequitable (Kennedy, 2006; eid, 2009).
Healthcare Equity in the Contemporary United States
Unfortunately healthcare access in the U.S. is not equitable…
Kennedy, E. (2006). America: Back on Track. Viking Press: New York.
Reid T. (2009). The Healing of America: A Global Quest for Better, Cheaper, and Fairer
Health Care. New York: Penguin Books.
The issue of grey and black markets often arose as a result of the shortages of experienced health care personnel. The system could not adapt to a flexible environment as it was led by rigid official procedures and the mentality of the people who controlled it was commanding, their vision short-sighted and hardly beneficial in such a situation (Barr and Mark, 1996).
The breaking up of Soviet Union which brought crippling economic and political problems to the countries also aggravated the health care situation making it reach an all-time low. The collapse of the health care system ran by the government led to the belief that turning towards a market economy or more capitalistic notions and perceptions would have been a better idea. The competition in the private sector would have had improved efficiency and averted an inevitable collapse of the health care system in the Soviet Union. This transformation,…
Balabanova, D., Haerpfer, C., McKee, M., Pomerleau, J., Rose, R. (2004). Health service utilization in the former Soviet Union: evidence from eight countries. Health Services Research
Barr, D.A. And Mark G. (1996). The Current State of Health Care in the Former Soviet Union: Implications for Health Care Policy and Reform. American Journal of Public Health. 86, 3.
Lewis, M. (2002). Informal Health Payments in Central and Eastern Europe and the Former Soviet Union: Issues, Trends and Policy Implications. In Funding Health Care, European Observatory on Health Care Systems Series, edited by E. Mossialos, a. Dixon, J. Figueras, and J. Kutzin, pp. 184-205. Buckingham: Open University Press.
Mikesell, J.L. And Mullins, D.R. (2001), Reforming Budget Systems in Countries of the Former Soviet Union. Public Administration Review. 61. 5.
Health Disparities in Louisville KY
Health inequities have become a major problem in the United States. Hofrichter stresses in Tackling Health Inequities Through Public Health Practice:
A Handbook for Action ( 2006) that, "The awareness of the existence of inequities in health, health status and health outcomes between racial and ethnic groups in America is as old as the nation itself" (Hofrichter, 2006,P. vii). As will be discussed in this paper, these inequalities have a wide range of repercussions, including social and psychological implications. A definition of health disparity is: "... The difference in the incidence, prevalence, morbidity, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups" ( Samuels, 2005).
There is also a consensus in the literature that inequalities in health and healthcare throughout the world are on the increase. This is largely due to the increasing gap between rich…
Eliminating social and economic barriers to good health and safety: Louisville
Center for Health Equity. Retrieved from http://www.preventioninstitute.org/component/jlibrary/article/id-278/127.html?tmpl=component&print=1
Galvin, J.R. (2006) Diabetes. Ebony, 61 p. 157.
GradNation - Making the Connection: Health & Student Achievement. Retrieved from http://www.silentepidemic.net/Our-Work/Dropout-Prevention/~/media/Files/Our%20Work/Dropout%20Prevention/Grad%20Nation%20Action%20Forum/Steve%20Tarver%20working%20sess%20PPT.ashx
Healthcare Reform Models
Health Care Reform Models
Shim and colleagues (2012) argue for taking advantage of provisions within the Patient Protection and Affordable Care Act (ACA) of 2010 that emphasizes preventive and integrated care. They propose that the primary care setting is ideal for screening patients for signs of mental illness and associated risk factors. A mental health wellness program could also include coaches and other experts that interface with patients on an individual basis, including at the patient's home.
Long-Term Behavioral Health Care
Bao and colleagues (2012) examined four patient populations defined by disease severity and ability to pay, and then assessed how these four groups will fare under the behavioral health provisions in the ACA. Patients with private insurance and suffering from mild to moderate mental illness will probably receive the best care at a Patient-Centered Medical Home (PCMH). The authors suggest that the presence of…
These were categorized into three aspects, which the care provider could control for the benefit of the patients. These were satisfaction with the punctuality of the caregiver; the quality of interaction between the patient and the caregiver; and the overall dependability of health care. Promptness or punctuality with care or service was rated most highly by both groups. eing on time affected their functioning and comfort throughout the day, specifically with dressing, bathing and daily activities. Promptness was considered the easiest and most controllable aspect for the provider. The quality of interaction made the patients feel safe, respected and valued. And satisfaction with the overall dependability of health care mostly involved the caregiver's following through with the patient's suggestions, especially those by the more frail patients. This last aspect was also well within the control of the health care provider (Kolodonsky, et al.).#
Champlin, L., (2004), surprising number of…
Champlin, L., (2004), surprising number of U.S. elders do not have health insurance coverage -- not even Medicare (Online). American Academy of Family Physicians.
http://www.aafp.org/online/en/home/media/releases/2004/uninsured-elders-4-1-04 (Accessed 18 August 2009).
Cummings, S.M.; Neff, J.A.; and Husaine, B.A. (2003), functional impairment as a predictor of depressive symptomatology: the role of race, religiosity and social support (Online). Health and Social Work, National Association of Social Workers. http://findarticles.com/p/articles/mi_hb138/is_1_28/ai_n28983552 (Accessed 18 August 2009)
Kolodinsky, J.; Junghun, N.; Lee, J.K.; and Dorzewiczewski, M. (2001). Degree of frailty and elderly satisfaction with personal care services in a community setting (Online). Journal of Consumer Satisfaction, ProQuest Information and Learning Company. http://www.findarticles.com/p/articles/mi_qa5516/is_200101/ai_n21465985 . Accessed 18 August 2009).
The respondents also believed that premiums should be adjusted based on an organizations willingness to introduce and enforce health and safety standards.
5. Safety representatives-these representatives serve the purpose of serving notices or organizations when breaches in safety and health standards take place.
6. Occupational Health and Rehabilitation -- a significant percentage or respondents believe that there needs to be greater access to occupational health services for employees. The respondents also believed that there should be a "new focus on the provision of rehabilitation services for injured and sick workers."
7. Financial Incentives-finally the respondents believed that employees needed financial incentives to encourage cooperation as it pertains to health and safety standards.
The HSE used all of the information gathered to create new strategies for dealing with Health and Safety issues in the workplace. One of the primary trends that developed was that of enforcement. In an effort to have…
"A strategy for workplace health and safety in Great Britain to 2010 and beyond"
"Enforcement Management Model." (2002). Health and Safety Executive
Enforcement Policy Statement. Health and Safety Executive
Environmental Health Policy Improvement Committee (20 April 2004) . Health and Safety Commission
Figure 1 portrays the state of Maryland, the location for the focus of this DR.
Figure 1: Map of Maryland, the State (Google Maps, 2009)
1.3 Study Structure
Organization of the Study
The following five chapters constitute the body of Chapter I: Introduction
Chapter II: Review of the Literature
Chapter III: Methods and Results
Chapter IV: Chapter V: Conclusions, Recommendations, and Implications
Chapter I: Introduction
During Chapter I, the researcher presents this study's focus, as it relates to the background of the study's focus, the area of study, the four research questions, the significance of the study, and the research methodology the researcher utilized to complete this study.
Chapter II: Review of the Literature in Chapter II, the researcher explores information accessed from researched Web sites; articles; books; newspaper excerpts; etc., relevant to considerations of the disparity in access to health care services between rural and urban residence in Maryland…
Potter, S. (2002) Doing Postgraduate Research. London: Sage.
Qualitative research: Approaches, methods, and rigour, (2008, Nov. 7). Microsoft PowerPoint Qualitative Research AdvC08 RS.PPT. Retrieved March 10, 2009 from www.unimaas.nl/bestand.asp?id=11629
Wolvovsky, Jay. (2008). Health disparities: Impact on Business and Economics Summit. Maryland's healthcare at a glance. The Heart of Community Health Baltimore Medical Syste. Retrieved March 10, 2009 at http://dhmh.maryland.gov/hd/pdf/2008/oct08/Jay_Wolvovsky.pdf
Access and Availability
The biggest problem in terms of access to healthcare is in rural areas. Our investigation found that there are very few if any rural clinics or healthcare facilities.
Access to healthcare is also limited to those that can afford insurance or qualify for Medicare or Medicaid. The unemployed and the poor are at a major disadvantage when it comes to gaining access to healthcare. The location of healthcare facilities is limited to the larger municipalities.
The entity that is responsible for the healthcare system is the United States Government. In addition, Puerto ico has a governor and a cabinet in place to ensure that the appropriate laws are carried out. The entity that makes laws concerning healthcare is outside of the country but the entity that enforces these laws is inside the country. Services are evaluated by state run entities and agencies of the United States…
The World Factbook -- Puerto Rico. Retrieved November 8, 2004 from; http://www.cia.gov/cia/publications/factbook/geos/rq.html#People
Puerto Rico: Estimated Number of Persons Living with AIDS at the End of 2002. Retrieved November 8, 2004 from; http://www.statehealthfacts.kff.org/cgi-bin/healthfacts.cgi?action=profile&area=Puerto+Rico&category=HIV%2fAIDS&subcategory=Persons+Living+with+AIDS&topic=All+Ages
HIV / AIDS Among Hispanics. Retrieved November 8, 2004 from; http://www.cdc.gov /hiv/PUBS/Facts/hispanic.pdf
Puerto Rico: Total Number of Adults with Diagnosed Diabetes, 2002. Retrieved November 8, 2004 from;
Oily fish contains a particularly important EFA, which provides protection against heart disease. It can also help prevent osteoarthritis and rheumatoid arthritis, cyclic breast pain, skin diseases such as eczema and psoriasis and help the development of the baby's brain during pregnancy. Another important EFA is found in oily nuts such as almonds, walnuts and razil nuts, which counteracts deposits of harmful cholesterol. Some recent research suggests that EFA's can improve your mood, prevent inflammation, water retention and can help weight loss. Monounsaturated fat remains liquid at room temperature, olive oil being the best known source. it's also found in grape seed oil, avocados and some spreads. Olive oil is rich in fat-soluble vitamin sAD. E and K, vital antioxidants that help to prevent cancer, arthritis and heart disease.
Different people require a different number of calories to lose weight and maintain health, which is dictated by their build, level…
Controlling the global obesity epidemic. Retrieved November 24, 2004 from WHO. Web site: http://www.who.int/nut/obs.htm
How to Pick a Nutritional Plan. Retrieved November 21, 2004 from PDR Health. Web site: http://www.pdrhealth.com/content/nutrition_health/chapters/fgnt04.shtml
Koop, C. (2000) Retrieved from American Journal of Clinical Nutrition, Vol. 72, No. 2. Web site: http://www.ajcn.org/cgi/content/full/72/2/503S
Preventing Childhood Obesity. RWJF President and CEO Reflects on Institute of Medicine Action Plan. Retrieved November 22, 2004 from the Robert Wood Johnson Foundation. Web site: http://www.rwjf.org/news/special/risaObesityInterview.jhtml
The absence of illness does not thoroughly explain "Health", it can as well be described as wellness of the body and mind. More technically, health can be defined from two perspectives -- bodily and psychological health. A state of well-being due to regular exercises, adequate nutrition, sufficient rest, sensitivity to signs of sickness and when to seek help is referred to as Physical health. A person's fitness is showcased by his/her body make-up, cardiorespiratory endurance, muscular stability, and adaptability. Mental wellness refers to psychological and emotional welfare.
As defined by the World Health Organisation (WHO), mental health is "a state of wellness in which an individual discovers and harnesses his abilities, make headways regardless of stress encountered in life, can complete tasks adequately and profitably with substantial end product, and also contributes immensely to the uplift of his or her locality." (Nordqvist, 2015). A means of enabling people…
Boundless, 2016. Research Methods for Evaluating Treatment Efficacy - Boundless Open Textbook. Boundless. Available at: https://www.boundless.com/psychology/textbooks/boundless-psychology-textbook/treating-psychological-disorders-19/introduction-to-the-treatment-of-psychological-disorders-99/research-methods-for-evaluating-treatment-efficacy-382-12917/ [Accessed June 27, 2017].
Brassai, L, Piko, B, & Steger, M 2011, 'Meaning in Life: Is It a Protective Factor for Adolescents' Psychological Health?', International Journal of Behavioral Medicine, 18, 1, p. 44, Advanced Placement Source, EBSCOhost, viewed 27 June 2017.
Cuijpers, P. et al., 2014. EU-Compass for Action on Mental Health and Well-being. PREVENTION OF DEPRESSION AND PROMOTION OF RESILIENCE. Available at: https://ec.europa.eu/health/sites/health/files/mental_health/docs/ev_20161006_co03_en.pdf [Accessed June 27, 2017].
Gillham, J.E. et al., 2012. Preventing Depression in Early Adolescent Girls: The Penn Resiliency and Girls in Transition Programs. Handbook of Prevention and Intervention Programs for Adolescent Girls, pp.124 -- 161.
Health Maintenance Issues
Mrs. Gray is an 86-year-old woman who has been diagnosed with Type Two Diabetes. She has lived with the disease for three years. Mrs. Gray is single and lives in the area in a naturally occurring retirement community. Mrs. Gray, though 86, appears much younger than her stated age, which can be largely attributed to her active physical nature. Mrs. Gray boasts an exceedingly active social life, meeting her friends for lunch several times a week, and she strives to keep herself in good physical condition by going to the gym an average of four times a week. Mrs. Gray is further involved in the community through significant work in her church and as a member of the Senior Friends Program, which allows volunteers to interact with shut-ins by visiting with them and bringing them dinner once a week. Mrs. Gray's last A1C was 6.1%.
Esfahani, A., Josse, A., and Panahi, S. (2008). Nutritional considerations for older adults with type 2 diabetes. Journal of Nutrition for the Elderly, 27.3-4. pp. 363-80. Retrieved from: EBSCOhost Database.
Fravel, M., McDanel, D., and Ross, M. (2011). Special considerations for treatment of type 2 diabetes in the elderly. American Journal of Health-System Pharmacy, 68.6. pp. 500-9. Retrieved from: EBSCOhost Database.
Haffner, S., Lehto, S, and Ronnemaa, T. (2008). Mortality from coronary heart disease in subjects with type w diabetes and in nondiabetic subjects with and without prior myocardial infarction. New England Journal of Medicine, 349:1. pp. 229-234. Retrieved from: EBSCOhost Database.
Halter, J. (2009). Geriatric patients. In: Therapy for Diabetes Millitus and related disorders, 3 ed. Alexandria, VA: American Diabetes Association. pp. 234-240. Retrieved from: EBSCOhost Database.
Healthcare Psychology Stress Illness orkplace Matrix Use table describe relationship stress health workplace identify ways reduce stress workplace. If additional sources, include citations consistent APA guidelines.
Associate Level Material
Stress and Illness in the orkplace Matrix
Use the following table to describe the relationship between stress and health in the workplace and to identify ways to reduce stress in the workplace. If you use additional sources, include citations consistent with APA guidelines.
Include reference page.
hat is the relationship between stress and health in the workplace?
There is a strong relationship between stress and health in the workplace, as there is a significant number of individuals from around the world who believe that their jobs have a negative effect on their health. A study involving civil service employees in London generated conclusive results showing that many individuals experience low control in the workplace and that this lead to serious health…
Cardwell, M. And Flanagan, C. (2005). Psychology AS. Nelson Thornes.
Nguyen, S. Creating an Ethical Organizational Culture. Retrieved August 6, 2013, from http://workplacepsychology.net/2011/02/14/creating-an-ethical-organizational-culture/
This is related to the fact that the use of pesticides is very poorly regulated. (Protect Farm orker's Health) the use of pesticides has become an area of research and concern by the health authorities. This aspect has been well documented but experts are of the opinion that there are "...insufficient studies examining the effects of multiple pesticide exposure." (Rosenbaum and Shin, 2005)
2.2.3. Access to health benefits and care
The general consensus from the literature on the subject is that migrant and seasonal farm workers and their families are "…overwhelmingly uninsured." (Rosenbaum and Shin, 2005) the 2005 study of the health of migrant farm works by Rosenbaum and Shin indicates that in 2000, "…85% of migrant and seasonal farm workers were uninsured, compared to 37% of low-income adults nationally." (Rosenbaum and Shin, 2005) the study also found that both migrant and seasonal farm workers had less access to health…
Health Problems among Migrant Farmworkers' Children in the U.S. ERIC Digest.
September 27, 2008.
ILO warns on farm safety Agriculture mortality rates remain high Pesticides pose major health risks to global workforce. September 27, 2008.
Overview of America's Farmworkers. September 27, 2008.
Health and Blind Spot Enlargement in Non-Athletes
Everyone has a blind spot in the visual field caused by an absence of nerves on the retinal wall where the nerve ganglia enter. Our brains "correct" for this blind spot and fill-in the missing information so that we do not notice the blind spot in normal daily activity. As the blind spot represents a physical structure, there has been little study concerning it. There have been a few studies conducted to determine how the brain compensates for the phenomenon.
Recently, there have been studies indicating that in certain people seeking chiropractic treatment that they have unequal blind spots as a result of muscoloskeletal misalignments. This research has been controversial, however, brings up several interesting questions. There are conditions that can damage the retina and this can cause blind spots in the visual field. It is generally assumed that athletes maintain a better…
Ballantyne, R. About that Squinty Eye. [Online]
http://www.ballantyne.com/rjb_resume/Squinty.html accessed March 2003.
Cai, R.H., & Cavanagh, P. (2002). Motion interpolation of a unique feature into stimulus gaps and blind spots Journal of Vision, 2(7), 30a, http://journalofvision.org/2/7/30 / accessed
Fletcher WA, Imes RK, Goodman D, Hoyt WF. Acute idiopathic blind spot enlargement: a big blind spot syndrome without optic disc edema. Arch Ophthalmol. 1988;106:44-49.
Health and Social Justice Issue in Saharan Country
Mali occupies the fourth position among the poorest nations of the world. Mali is still plagued by a multitude of financial tribulations with an economy in shambles, the country's liability approximately equivalent to its GDP, at the mercy of the international donor groups, insufficient revenues of the state exchequer and pressure from various coterie groups voicing their demands. (Mali Human ights Practices: U.S. Department of State, 1994) However, at the same time it a nation that boasts of a rich and hoary tradition. It is popular as a country marked by its multihued varied populace and harmonic tunes. Currently, it is confronted with a massive menace like AIDS, Noma and a host of tropical diseases. Mali has the world's lowest adult literacy rate of less than 25%. The country's education system is inadequately formed, especially at the primary stage. A United Nations…
Condom Vending Machine. (March 01, 2004) "Mali, AIDS and Condoms" Initial Research Report. Retrieved at http://dtm.media.mit.edu/dtm/dtm04/projects/condom/archives/000145.html. Accessed on 11 July, 2004
Dao, S. (Jan 7-8, 2004) "HIV Treatment in Mali, PNLS/GAIA" AIDS Vaccine Conference, Bamako, Mali.
Johnston, Timothy; Faure, Sheila Dohoo; Raney, Laura. (June 1998) "The World Bank and the Health Sector in Mali" Report No. 18112.
Mahe A; Prual A; Konate M; Bobin P. (Sep-Oct, 1995) "Skin Diseases of Children in Mali: A Public Health Problem" Tropical Medical Hygiene. Volume: 89: No: 5; pp: 467-70
For many children this may mean limited or no weight gain while they grow taller. Recommendations for maintaining weight include regular physical exercise and carefully watching ones diet to avoid too many extra calories. "Factors predicting success are:
including parents in the dietary treatment program strong social support of dietary intervention from others involved in preparing food regular physical activity prescription including social support" (Overweight in Children, n.d).
There is a great importance in continuing lifestyle changes in order to continue any weight loss success. The best way to change weight is to do it gradually (Overweight in Children, n.d).
hen the goal is to help a child reach and maintain a healthy weight, parents should be the ones to take the lead. Healthcare providers and nutrition advisors are there to help, but parents exercise the most control over a child's activities and habits and thus are in the best…
Anderson, Patricia M. And Butcher, Kristen F. "Childhood Obesity:
Trends and Potential Causes." n.d. The Future of Children. 4 April 2009
"Helping Your Overweight Child." n.d. Weight-Control Information Network. 4 April 2009
Not only does the MINE act impose fines for violations of safety provisions, it implements a lot of new ones. For example, there must be reporting of any dangerous conditions within mines that may lead to accidents within 15 minutes of discovering such things. There must also be two rescue teams on site at mines and those teams must be capable of responding to any disaster within an hour. Wireless two-way communications and a tracking system capable of allowing those on the surface to easily locate those underground quickly must be present at all mines. Abandoned areas of coal mines must be sealed, and better ventilation of mine shafts must be in place. All of these things and more are part of the MINE act, and have already contributed to a reduction in accidents in mines and greater mine safety since their implementation with the passage of the act (Gurtunca…
Dhillon, B.S. (2010). Mine Safety: A Modern Approach. New York, NY: Springer Publishing.
Gurtunca, R.G. And Breslin, J.A. (2006). "Recent Developments in Coal Mining Safety in the United States." National Institute for Occupational Safety and Health. Pittsburg, PA: Centers for Disease Control.
Health Care and Health for All:
In what the World Health Organization termed as Health for All, the International Conference on Primary Health Care in 1978 expressed the need for health workers, urgent government action, and the world community to safeguard and support health for all. In order to achieve health for all people across the globe, the Conference made various declarations including health being an essential human right and a significant world-wide social goal. One of the critical aspects towards the achievement of this Health for All initiative is primary healthcare.
Declarations on Primary Health Care:
As an essential health care service, primary health care can be made universally accessible to people and families through the full participation of the community and at a cost that the community can afford ("Declaration of Alma-Ata," n.d.). Primary health care acts as the initial level of contact of people, families, and communities…
Bassett, M.T. (2006, December). 'Health for All In the 21st Century.' American Journal of Public Health, 96(12), 2089. Retrieved from http://www.medscape.com/viewarticle/565796_2
"Declaration of Alma-Ata." (n.d.). International Conference on Primary Health Care -- World
Health Organization. Retrieved December 30, 2011, from http://www.who.int/hpr/NPH/docs/declaration_almaata.pdf
"Global Strategy for Health for All by the Year 2000." (n.d.). World Health Organization.
Diversity of Aging Population -- Innovative Healthcare
Over the past several decades there has been an avalanche of research and scholarly narratives focusing on the aging of millions of Americans -- among them the "baby boomers" that were born between 1946 and 1964 -- including their numbers and their health vis-a-vis the impact on the sometimes struggling healthcare system. But there has been a dearth of research on how American healthcare services will respond -- and is currently responding -- to an increasingly diverse older population when it comes to racial, cultural and ethnic identities. This paper points to the numerous issues and challenges that not only face an increasingly diverse older American population when it comes to healthcare, but also the challenges that the healthcare system itself faces as these Americans move into the twilight of their lives.
hat should be the Vision and Mission of Healthcare Professionals in…
Administration on Aging. (2010). A Statistical Profile of Black Older Americans Aged 65+.
Retrieved April 2, 2014, from http://www.aoa.gov .
Bookman, A. (2008). Innovative models of aging in place: Transforming our communities for an aging population. Community, Work & Family, 11(4), 419-438.
Centers for Disease Control and Prevention. (2007). The State of Aging and Health in America
healthcare issues country. How solve ongoing problem Medicare Fraud Abuse government sufficient effective regulation enforce. If, resolve problem? recommendation ? It Economics Healthcare economically sound.
Economics of healthcare
The population of the modern day society is faced with incremental pressures, but also incremental challenges, and these new issues impact all aspects of life, including the provision of healthcare services. For instance, the more and more technological developments made within the medical and pharmaceutical industries improve the quality of the medical services and as such the life expectancy of the patients. Then, the sustained academic research conducted also improves the quality of the services and the overall quality of the medical act.
In spite of the developments made, it must also be noted that the provision of healthcare services in the United States is a complex situation, with numerous ramifications and challenges. On a first note, it is revealed that the…
Angell, M.,2002, The forgotten domestic crisis, The New York Times, http://www.nytimes.com/2002/10/13/opinion/the-forgotten-domestic-crisis.html last accessed on August 8, 2011
Cunningham, W., 2003, The development of the U.S. health care system and its problems, UCLA Schools of Medicine / Public Health, http://www.ph.ucla.edu/hs/hs_100_4_02_lecture_cunningham.pdf last accessed on August 8, 2011
Garson, A., 2000, The U.S. healthcare system 2010, Current Perspectives, http://circ.ahajournals.org/content/101/16/2015.full last accessed on August 8, 2011
Gratzer, D., Why isn't government healthcare the answer? Free Market Cure, http://freemarketcure.com/whynotgovhc.php last accessed on August 8, 2011
At which point, they talk about the effects that the different kinds of coverage are having on senior citizen, with many using a combination of Medicare and private insurance, while others have used a combination of Medicare / Medicaid. To rectify the situation, the article points out that there is one of two solutions to include: the government placing price caps and importing prescription drugs. A government model of limiting the overall scope of price increases, could help to reduce the negative effects that this having on the elderly. Another option, for those who are opposed to such a plan, is to allow the import of prescription drugs. This is significant, because it shows how increasing the available supply of prescription drugs are a key to curtailing costs. If some kind of programs, this could be introduced to address this issue. At which point, it could be effective in reducing…
Carbaugh, R. (2006). Chapter Summary. Contemporary Economics (pg. 76) Mason, OH: Thompson. http://books.google.com/books?id=9Pascy_5HUMC&pg=PA76&dq=solutions+high+prescriptions+drug+costs+on+the+elderly&hl=en&ei=zFcmTIaALMKB8gb59YnKDw&sa=X&oi=book_result&ct=result&resnum=1&ved=0CCoQ6AEwAA#v=onepage&q&f=false
Day, T. (n.d.). About Medical Care for the Elderly. Retrieved June 26, 2010 from Long-Term Care Link website: http://www.longtermcarelink.net/eldercare_medical_care_issues.htm
Ham R. (2007). Clinical Pharmacology. Primary Care Geriatrics (pp. 94) Philadelphia, PA Mosby.
healthcare problems facing this nation is that of migrant workers, primarily those from Mexico, who work both legally and illegally on this side of the border. While other immigrant populations are also underinsured and under-treated --most notably Asians -- the Hispanic problem is by the far the most significant because of the shear numbers and the structural poverty which create stagnant population pools too large to ignore.
By allowing this problem to continue, we face the more direct health threat of the Mexican migrant worker population becoming a breeding ground for infectious diseases that can spread quickly into the general population. While humanitarian reasons alone should call for our involvement in solving this problem, we should be aware that the problem is an economic one as well. The Mexican workers, especially since the passage of NAFTA, have become an intergral part of the U.. workforce in that they are performing…
Hahn, Kaye (1998) "Health Related Issues and Challenges of Women and Children In a Migratory WorkForce." Online at Medical College of Georgia Available: http://gain.mercer.edu/grha/migranthealth.PDF.(1/11/03)
Lanzendorfer, Joy Silent Suffering North Bay farm workers face a healthcare crisis." Online at Metro PublishingFrom the May 30-June 5, 2002 issue of the North Bay Bohemian. Available: http://www.metroactive.com/papers/sonoma/05.30.02/farmworkers-0222.html .(1/11/03)
Pinkerton, James. (May 2002). "Health Care: Crisis at the Border." Online at the Grande Valley Bureau Houston Chronicle. Available: http://namiscc.org/Advocacy/2002/BorderCrisis.htm .(1/12/03)
Stanley, Eduardo. March 27, 2001."Farm Worker Survey Uncovers Health Problems, Abuses." Online at New California Media. Avaialble: http://www.ncmonline.com/content/ncm/2001/mar/centralvalley.html .(1/10/03)
sufficient health care for runaway teenagers is a topic of grave concern to most in the medical and social professions, both nationally and in the state of California. With limited treatment options, higher risks of STD's, HIV, and other diseases, improper prenatal care, and a lack of community care options, runaway teens receive grossly inadequate health care. This paper will address those concerns, specifically in the state of California, as well as offering possible solutions to the problem, and will examine the role of the registered nurse in the solutions presented.
It is important to note that the life of a runaway teenager is filled with health risks and danger. Marie and Cheri are just one example. They were 13 when they ran away from home in an attempt to escape a drug addicted father who sexually abused them. With only $200 between them, their food supply and housing was…
Advanced Practice Registered Nurses Council. (2004). Information on APRNs. APRNs. Retrieved from Advanced Practice Registered Nurses Council on March 03, 2003. Web site: http://www.scnurses.org/A_P_Council/aprns.asp
American Civil Liberties Union. (May 14, 2003). Letter to the House Urging Opposition to the Musgrave Amendment to HR 1925, the Runaway, Homeless, and Missing Children Protection Act. Retrieved from American Civil Liberties Union website on March 3, 2004. Web Site: http://www.aclu.org/news/NewsPrint.cfm?ID=12643&c=225
California Board of Registered Nurses. (Fall, 2003). What is the RN Scope of Practice? The BRN Report, 15(2), 7-9.
California Office of the Attorney General. (2002). 2002 Reports of Missing Children by County. Sacramento, CA: California Department of Justice.
Nursing Case Study and Theoretical Knowledge of Healthcare System
Significant evidence shows that the responsibilities of the primary and acute care nurses vary significantly. The variation creates differences in the scope of work for the nurses, as they are engaged in different job perspectives. Primary and acute care nurses provide an array of services that aim at promoting health, preventing the occurrence of diseases, treating the sick, and providing the e clients with services, meeting their needs alongside creating public awareness to issues that affect their health and well-being. The difference of the services provided by the two becomes evident by the fact that the acute care nurses provide their services to patients who are critically sick, creating continuum variation in the services provided. In addition, nurses involved in the provision of nursing care services in the acute setups require specialized knowledge, skills, and expertise that allows them to provide…
Brown, L., Burton, R., Hixon, B., Kakade, M., Bhagalia, P., Vick, C., et al. (2011). Factors Influencing Emergency Department Preference for Access to Healthcare. Western Journal of Emergency Medicine, 13(5), 410-415.
Brown, S., & Stenner, P. (2009). Psychology without foundations history, philosophy and psychosocial theory. London: Sage Publications.
Crowe, M., & Carlyle, D. (2003). Deconstructing risk assessment and management in mental health nursing. Journal of Advanced Nursing, 43(1), 19-27.
DiClemente, R.J., Crosby, R.A., & Kegler, M.C. (2002). Emerging theories in health promotion practice and research strategies for improving public health. San Francisco: Jossey-Bass.
Migrant Health Problem
Presently, access to social and health services for most migrants is determined by their legal status. Undocumented migrants have least possible access to health services. Legal status is one of the preconditions for ability involved in receiving adequate care. Further, the availability, acceptability, quality and accessibility of such services is dependent on different influences such as cultural, social, linguistic, structural, gender, geographical and financial factors. From this, different knowledge and beliefs about ill health and healthy status deter migrants from engaging national health services.
Health literacy within such awareness senses entitlements individuals to availability and care services that pose barriers to using similar services (Becker, 2003). The situation also shows dependence on various migrants irrespective of the existing legal or socio-economic statuses. The nature of mobility makes it difficult to establish the available providers of health care service. Temporary and seasonal workers prefer delaying care until there…
Becker, G. (2003). Socioeconomic Status and Dissatisfaction with Health Care among Chronically Ill African-Americans. American Journal of Public Health, 93(5), 742.
Carrasquillo, O., Carrasquillo, A. & Shea, S. (2000). Health Insurance Coverage of Immigrants Living in the United States: Differences by Citizenship Status and Country of Origin. American Journal of Public Health 90 (6): 917 -- 923.
Huang, J., Yu, S. & Ledsky, R. (2006). Health Status and Health Service Access and Use among Children in U.S. Immigrant Families. American Journal of Public Health 96 (4): 634 -- 640.
Okie, S. (2007). Immigrants and Health Care -- At the Intersection of Two broken Systems. The New England Journal of Medicine: 525 -- 529.
HP2020 ('Healthy People 2020') initiative is reducing health gaps in America. Much controversy exists with regard to what the term 'health disparities' actually refers to. Disparities are largely witnessed on the basis of socioeconomic status (SES), and racial/ethnic identity. A number of health indicator-related differences exist among different racial and ethnic groups in America. This paper will endeavor to explain what health disparities implies, the health indicator-related differences among different racial/ethnic populations, causes for such differences, and potential ways to bring about health improvements for underserved populations.
"Health Disparities" Defined
There is considerable debate regarding the precise meaning of "health disparities." One key facet of a majority of accepted meanings is that every health status difference between different population groups is not a disparity; disparities are only differences that systematically and adversely affect socially and economically less-advantaged people. On the American scene, disparities-related discourse has chiefly concentrated on ethnic/racial disparities.…
A largely insular community since their initial settlement in the United States, the Amish community presents unique challenges for healthcare workers. The Amish eschew modern technology, including many of the tools and techniques used in modern medicine. In fact, the Amish community also forbids higher education (Adams & Leverland, 1986). Misconceptions and misunderstandings about the Amish further complicate healthcare decisions and relationships between healthcare providers and Amish patients. For example, it is commonly assumed that the Amish “lack the preventive practices of immunizations and prenatal care,” (Adams & Leverland, 1986, p. 58). While the rates of immunizations are relatively low among the Amish, the Amish church does not forbid immunization (Adams & Leverland, 1986). The Amish also have a keen interest in disease prevention, health education, and lifestyle choices that prevent health problems (Talpos, 2016). Although Amish attitudes towards health, wellness, and the healthcare system may be at odds with…
Opioid abuse is a problem in the US, particularly among the youth population. This is a health risk behavior that has arisen in the US for quite some time, largely due to the influence of the pharmaceutical industry’s push of drugs like Oxycontin onto the market (Coplan et al., 2016). The US Department of Health and Human Services (2020) reports that 0.7 percent of young people aged 12 years and up have reported an opioid use disorder, such as heroin or prescription pain reliever, in the past 12 months. One of the objectives of Healthy People 2030 is to “reduce the proportion of people who had opioid use disorder in the past year” (Healthy People 2030, 2021). This paper discusses the program that can be initiated to address this issue. It identifies the target group, the key stakeholders, the plan of action, and the barriers to be overcome.
Bandura, A. (2018). Toward a psychology of human agency: Pathways and reflections. Perspectives on Psychological Science, 13(2), 130-136.
Coplan, P. M., Chilcoat, H. D., Butler, S. F., Sellers, E. M., Kadakia, A., Harikrishnan, V., ... & Dart, R. C. (2016). The effect of an abuse?deterrent opioid formulation (OxyContin) on opioid abuse?related outcomes in the postmarketing setting. Clinical Pharmacology & Therapeutics, 100(3), 275-286.
Doster, L. (2013). Millennial teens design and redesign themselves in online social networks. Journal of Consumer Behaviour, 12(4), 267-279.
Governor.PA. (2017). Governor Wolf Voices Support for House Bill that Makes Opioid Education Mandatory in Schools. Retrieved from https://www.governor.pa.gov/newsroom/governor-wolf-voices-support-for-house-bill-that-makes-opioid-education-mandatory-in-schools/
Healthy People 2030. (2021). Opioid use. Retrieved from https://health.gov/healthypeople/objectives-and-data/browse-objectives/drug-and-alcohol-use/reduce-proportion-people-who-had-opioid-use-disorder-past-year-su-18
Keleher, H. (2002). Public and population health strategic responses. Health Canada.
McCoy, S. S., Dimler, L. M., Samuels, D. V., & Natsuaki, M. N. (2019). Adolescent susceptibility to deviant peer pressure: Does gender matter?. Adolescent research review, 4(1), 59-71.
Roberts, M., Callahan, L., & O’Leary, C. (2017). Social media: A path to health literacy. Information Services & Use, 37(2), 177-187.
health promotion strategies that can be implemented upon the predictive characteristics of the family.
My health promotion strategy program will center around a Cuban-American family called the Garcias whose primary health issues center on hypertension, and the need for greater information about the importance of establishing a healthy lifestyle. This includes the importance of screening, exercise, establishing healthy habits, and monitoring one's lifestyle. Several members of the family indicate stress and hypertension whilst the grandmother also has cardiac disease and osteoarthritis, but is resilient to receiving information on how to alleviate her symptoms. In a similar way, Angelo, an addicted smoker, refuses to stop smoking and to deal with his chronic cough and mild chest pain, stating that, as man of the family, he has to continue working his overwhelming hours. Gerardo, the son, being active homosexually, seems to be vulnerable to AIDS; it is unclear whether or not he…
Boswell, T.D. & Curtis, J.R. (1984) The Cuban-American Experience. Culture, Images and Perspectives. NJ: Rowman & Allanheld Publishers
Cuban Americans http://www.everyculture.com/multi/Bu-Dr./Cuban-Americans.html
Osteoporosis and the Health Belief Model
Discuss the Health Belief Model
The Health Belief Model was initially a systematic mode of predicating and thus preventing health behavior. By focusing on the relationship between the practices and the behaviors of health services it aimed to create a theoretical presentation of the same. Later it was revised to motivate the general health for the 'purpose of distinguishing illness and sick-role behavior from health behavior'. [Brown, 1999] The HBM is essentially a concept that integrates psychological motivators with physical and social settings. Its said to have been initiated in 1952 by three socio-psychologists, Godfrey Hochbaum, Stephen Kegels and Irwin osenstock. During the 1950's the society realized a need to prevent disease rather than cure it. The U.S. Public Health Service was more concerned with preventing outbreaks which would have a nationwide impact than with trying to solve and cure the symptoms that individuals…
Brown, Kelli M. [January 11, 1999] HEALTH BELIEF MODEL Community and Family Health University of South Florida
Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavior change. Psychological Review, 84, 191-215.
National Osteoporosis Foundation [NOF]. (1999a). NOF Physician's Guide: impact and overview [Online]. Available: http://www.nof.org/physguide/impact_and_overview .
National Osteoporosis Foundation [NOF]. (1999b). Osteoporosis Fast Facts [Online]. Available: http://www.nof.org/osteoporosis/stats.htm .
Health [...] importance of health and exercise, and where people can find assistance in California. Exercise is an important deterrent to many diseases, including obesity, a plague on the nation. Getting Americans to exercise may be difficult, but the benefits of exercise are clear. People who exercise tend to live longer, have better overall health, and feel better about themselves. In California, many programs are available that will help people develop and maintain healthy lifestyles that include exercise. Education is the key to helping people understand the benefits of exercise, and that education must begin early in life for exercise to become a daily habit. For America to become a healthy country again, people must understand the importance of exercise and good health, and that begins with education and assistance to help people create better, more healthful lives for themselves.
Exercise and good health go hand-in-hand, and yet, in our…
Akande, A., Van Wyk, C.D., & Osagie, J. (2000). Importance of exercise and nutrition in the prevention of illness and the enhancement of health. Education, 120(4), 758.
Author not Available. (1999). Physical activity and health. Retrieved from the Center for Disease Control Web site: http://www.cdc.gov /nccdphp/sgr/intro.htm18 June 2004.
Editors. (2004). Leading health indicators. Retrieved from the HealthyPeople.gov Web site: http://www.healthypeople.gov/Document/html/uih/uih_bw/uih_4.htm18 June 2004.
Field, T., Diego, M., & Sanders, C.E. (2001). Exercise is positively related to adolescents' relationships and academics. Adolescence, 36(141), 105.
Health Care and the Law:
Associated Press. (March 11, 2004). "House approves obesity suit ban." Retrieved on the website of the Boston Globe at http://www.boston.com/business/globe/articles/2004/03/11/house_approves_obesity_suit_ban?mode=PF
Who is responsible for the growing obesity epidemic? Is the expanding American waistline blamed upon increased exposure to a 'fast food nation' and advertising from a person's childhood? Is the cause due to the nation's suburban sprawl, addiction to cars, and corresponding lack of activity? Is it merely due to a lack of willpower? hus, who should bear the blame, the food industry or the consumer -- or simply the toxic food environment of America?
he issue of obesity is not simply a medical issue of causality -- that is, treat the cause and stop the epidemic. It is, and remains a very American issue and concern, even though obesity rates are rising in the First World all over the globe. And, true to form…
The Republicans who drafted and voted for the bill have an additional point regarding such legislation, however, that does not necessarily pertain to earlier such bans against asbestos or gun related lawsuits. "Food manufacturers and sellers should not be held liable for injury because of a person's consumption of legal, unadulterated food and a person's weight gain or obesity," the White House said in a statement supporting the GOP bill. (AP, 2004) In other words, it is we as American who doing the eating, rather than the fast food companies forcing us to eat or be exposed to toxic products on a daily basis.
However, when children are targeted by food companies with suggestive advertising, prompting them to make poor food choices, the issue of personal responsibility grows more cloudy, as it does with the tobacco lawsuits these legal actions are often analogized with -- what of people who began to smoke before smoking was held to be hazardous by the government's decree? The bill would only allow legal claims to go forward if state or federal laws had been broken and as a result a person gained weight, presumably through claims regarding mislabeled calorie counts or improper promotional advertising, suggesting if one ate the product one would automatically lose weight.
The industry has responded to such lawsuits in a positive fashion, however, indicating that banning them may have a poor effect in the long-term on the nation's health. As McDonald's and other chains downsize portions and offer more healthy choices in response to threatened suits, this action might take another weapon against the dangers of obesity out of the hands of the public, amongst whom the health toll from obesity is taking on smoking as the leading killer.
healthcare reforms that have taken place in the past decade that have led to the re-evaluation of the quality as well as the cost effectiveness of health care providers. A specialty that has evolved with this trend is that of mental health/psychiatric advanced practice nurse. There is an increase in the number of the elderly people in society today. Depression is a common mental health condition in this age group. Age related psychological, physiological and social change have to be taken into consideration when it comes to making decisions that are related to pharmacological or psychological treatments that are to be implemented.in the article we can see that the common causes of mental health problems in the elderly are institutionalization, loss of friends and family, lack of support networks, decrease in hearing, vision and memory and so on.
The article highlights some of the benefits and risks electro conclusive therapy.one…
Human Services Intervention for the Homeless
Working with homeless people is one of the challenging tasks in the social sector. Similar to other social worker position, supporting homeless people can be very difficult and challenging because most of the homeless people are a drug addict, jobless, and suffer from mental disorders. Homelessness is a condition without having access to a regular dwelling. Thus, homeless are people who are unable to acquire safe, regular, and secure housing units. Thus, anybody cannot just work with this set of the population, social workers or other professionals ready to work with this set of people should possess interpersonal skills to work successfully with them.
The objective of this paper is to address the interpersonal skills to work homeless.
Interpersonal skills to work with Homeless
A strong communication skill is one of the interpersonal skills needed to work with homeless people. A social or health…
Finfgeld-Connett, D. Bloom, T.L. & Johnson, E.D. (2012). Perceived Competency and Resolution of Homelessness Among Women With Substance Abuse Problems. Qualitative Health Research
Finfgeld-Connett, D. (2010). Becoming homeless, being homeless, and resolving homelessness among women. Issues in Mental Health Nursing, 31, 461-469.
Obesity and Fast Food
Obesity in America is one of the fastest-growing health concerns facing the nation. Many people blame the fast food industry, along with American's frenzied lifestyles, as major contributors to obesity in the country. When fast food was first introduced in the 1950s, the concept was appealing for a number of reasons. The food was quickly prepared, it was tasty, and it was cheap. These attributes still apply to fast food in the country, but there is a major difference between the 1950s and today. Then, fast food was seen as a "treat," or even a night outing with the family. Today, fast food is an everyday occurrence for most families, and some people even eat most of their meals in fast food restaurants. In fact, fast food often permeates every facet of American's lives, from school cafeterias to office snacks and lunches grabbed on the run.…
Manning, Cyril. "Clear Link Between Fast Food, Obesity." Harvard University. 2004. 18 May 2004. http://web1.tch.harvard.edu/chnews/01-2004/obesity.html
Healthcare Economics Evaluation
This report is about a proposed healthcare economics investigation. Some early research has been done and will be described based on what was found and how it was found. The report will conclude with a proposed plan for further economic evaluation on that same topic with a great deal the expected and proper form and function of that research to be described in that section. A conclusion will wrap up the report.
Critical Appraisal of the Evidence
The author of this report has chosen how to make health care affordable and have the most amount of people possible covered in the United States as this is one of the more omnipresent issues and matters in American society in the modern time. Health care being at the forefront of the American news cycle is nothing new as it is has been a huge part of the…
Berkowitz, E. (2008). Medicare and Medicaid: The Past as Prologue. Health Care Financing Review, 29(3), 80-93.
Bovbjerg, R.R., & Schoenbaum, S.C. (2004). Malpractice Reform Must Include Steps To Prevent Medical Injury. Annals Of Internal Medicine, 140(1), 51-54.
Budget problems, Medicaid expansion main topics at SAMHSA meeting. (2012). Alcoholism & Drug Abuse Weekly, 24(32), 1-3.
CDC. (2013, March 19). CDC Online Newsroom - Press Release: October 17, 2011. Centers for Disease Control and Prevention. Retrieved March 19, 2013, from http://www.cdc.gov /media/releases/2011/p1017_alcohol_consumption.html
Health Care Trends
With the passage of the Affordable Care Act the personal health of every American has become an important issue. While most health care funds are spent treating diseases and other health problems, there has recently been a push toward focusing on prevention of health problems. For example, "chronic diseases such as heart disease, cancer, stroke, and diabetes are now responsible for more than 75% of health care costs." (Berman, 201, p.328) But as these health problems are almost entirely preventable a focus on prevention could save a great deal of money that would be better spent elsewhere. Therefore many Americans are beginning to endorse policies that prevent health problems before they start. Some of these ideas involve incentives to reward people for healthy behavior while others involve penalties to punish those who do not. However, research indicates that punishments are not as effective as incentives when it…
Blacksher, Erika. (2008). "Carrots and Sticks to Promote Healthy Behaviors." Hasting
Center Report. Retrieved from http://onlinelibrary.wiley.com/doi/10.1353/hcr.0.0002/abstract
Berman, Micah. (Fall 2011). "From Health Care Reform to Public Health Reform."
Journal of Law, Medicine, and Ethics, vol. 39 (3). Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/j.1748-720X.2011.00603.x/abstract
The term health care refers to the inter-related system of care provided to persons during illness. In most of the cases, healthcare begins with the family doctor who refers patient to specialists if needed or directly order further diagnostic testing. Community health clinics perform the same procedure as a family doctor, but alongside with that, clinics also provide insight into patterns of health or illness seen within the community. Hospital just form one part of the healthcare community, as are mostly visited when a patient's condition is more acute and requires intervention by the hospitals high-end staff, since more can be done for him in a hospital rather than in a clinic where he is just an out-patient.
Clinics of various types provide very specific services, such as "pain management clinics" these clinics are targeted for towards people suffering from pain conditions. ehabilitation services also form a needed part…
DDI (2006) Health Care Global Comparison: Leadership Forecast 2005|2006. DDI, Pennsylvania.
DDI (2007) Leading the Past: Preparing the Future. DDI, Pennsylvania.
Fischer (2007) Culture and cultural analysis as experimental systems. Cultural Anthropology. 21(1) 1-65.
Greenfield D (2007) The enactment of dynamic leadership. Leadership in Health Sciences. 20(3) 159-168.
Health Care -- PHI
A Primary Health Care Initiative (PHI) is a fundamental, affordable health care mode clearly illustrated the Declaration of Alma-Ata. Michelle Obama's "Let's Move!" adheres to the PHI format and uses the Health Belief Model as its guide. Unfortunately, several problems with both the Model and the initiative hamper its success. Several measures can be taken to significantly enhance the initiative's impact.
Identify PHI (20%)
A PHI is a fundamental and affordable mode of health care that is grounded in realistic, well-established and culturally agreeable science and practices, and is made accessible to all members of a community (HO, 1978, pp. 2-3). It relies on continuous financial and ideological support from the immediate and larger communities, as well as the wholehearted participation of community members, who are deemed partners in their own health care (HO, 1978, pp. 2-3). Though the initiative works with individuals in their local…
Clarke, V.A., Lovegrove, H., Williams, A., & Machperson, M. (2000). Unrealistic optimism and the health belief model. Journal of Behavioral Medicine, 23(4), 367-376.
Keating Simons, K. (2010, December 13). Let's Move: Looking at the flaws of a childhood obesity intervention. Retrieved November 8, 2013 from http://challengingdogma-fall2010.blogspot.com Web site:
Health Model and Healing Model
The healing model and health model have influenced the human belief for several decades, and the health model defines health as robust physical human fitness that is free of disease. On the other hand, healing is a functional restoration of repairing or conquering alien destroyer. In other word, health is the balance of spirit, mind and body. Since disease serves as an agent that disrupts the balance, healing serves as restoration of human balance. (Carpenter, 2010).
In essence, healing and spirituality are intimately connected. Healing is the spiritual process that influences the wholesome of an individual. In other word, healing is an intangible, experiential and spiritual that integrates human body, mind, soul and spirit. More importantly, healing is concerned with the wholesome of human being. For several thousand years, many people with different cultures have used the healing model for the well being of their…
Liu, C. Li, D. Fu, B. et al. (2014). Modeling of self-healing against cascading overload failures in complex networks. EPL (Europhysics Letters). 107(6).
Meilin, S. (2013). Characterization of a porcine model of post-operative pain European Journal of Pain.
Tiaki, K.C. (2013). Helping transform health service models. Nursing New Zealand. 19 (7): 27.
Health Belief Model and Health Education
Public/population health standards place the conventional medical individual care model within several determinants of health. Currently, various public health models exist and are available for a huge range of purposes such as the Health Belief Model. These various health models exist to provide an improved understanding of the dynamics relating to the health and wellbeing of populations. In addition, there are social determinants of health (SDOH), which basically refer to the political, social and economic factors that impact the health of individuals and populations. The social determinants of health also refer to the ecological model and place significant emphasis on healthcare institutions and organizations established by humans to organize or structure social processes relating to individuals and populations’ health including health education. This paper examines how the Health Belief Model can be used to address the issue of health education.
The Issue of Health…
Among the most important aspects to the health promotion plan will be the benefits associated with a care manager, who can ensure that all six core elements of CCM are implemented fully. If this is accomplished, there should be a significant reduction in health disparities for patient and caregiver outcomes across generations.
AHQ. (2012). National Healthcare Disparities eport, 2011. No. 12-0006. ockville, MD: Agency for Healthcare esearch and Quality. etrieved 16 Apr. 2014 from http://www.ahrq.gov/research/findings/nhqrdr/nhdr11/nhdr11.pdf.
Braveman, P.A., Kumanyika, S., Fielding, J., Laveist, T., Borrell, L.N., Manderscheid, . et al. (2011). Health disparities and health equity: The issue is justice. American Journal of Public Health, 101(Suppl. 1), S149-55.
Brodaty, H. & Donkin, M. (2009). Family caregivers of people with dementia. Dialogues in Clinical Neuroscience, 11, 217-28.
Castro, A. & uiz, E. (2009). The effects of nurse practitioner cultural competence on Latina patient satisfaction. Journal of the American Academy of Nurse…
AHRQ. (2012). National Healthcare Disparities Report, 2011. No. 12-0006. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved 16 Apr. 2014 from http://www.ahrq.gov/research/findings/nhqrdr/nhdr11/nhdr11.pdf .
Braveman, P.A., Kumanyika, S., Fielding, J., Laveist, T., Borrell, L.N., Manderscheid, R. et al. (2011). Health disparities and health equity: The issue is justice. American Journal of Public Health, 101(Suppl. 1), S149-55.
Brodaty, H. & Donkin, M. (2009). Family caregivers of people with dementia. Dialogues in Clinical Neuroscience, 11, 217-28.
Castro, A. & Ruiz, E. (2009). The effects of nurse practitioner cultural competence on Latina patient satisfaction. Journal of the American Academy of Nurse Practitioners, 21(5), 278-86.